The Relationship of Perceived Susceptibility, Seriousness, Benefits, Barriers and Health Motivation to Colorectal Cancer Screening Among African Americans

The Relationship of Perceived Susceptibility, Seriousness, Benefits, Barriers and Health Motivation to Colorectal Cancer Screening Among African Americans PDF Author: Michelle L. Minor
Publisher:
ISBN:
Category : African American
Languages : en
Pages : 138

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Testing a Socio-cultural Model of Colorectal Cancer Screening Among African Americans

Testing a Socio-cultural Model of Colorectal Cancer Screening Among African Americans PDF Author: Jason Q. Purnell
Publisher:
ISBN:
Category :
Languages : en
Pages : 134

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Book Description
Colorectal cancer is the third leading cause of cancer death for African Americans, but screening consistent with American Cancer Society guidelines remains underutilized. Many of the theoretical models currently used to explain preventive health behavior do not include social and cultural factors relevant to this population, such as adoption of mainstream cultural norms (acculturation), mistrust of health care systems, group-level perceptions of susceptibility, and social support. The purpose of this study is to test a sociocultural model of intention to be screened for colorectal cancer among African Americans. The model proposes that sociodemographic variables, social support, socio-cultural factors, and perceived susceptibility are all predictors of the intention to undergo colorectal cancer screening for African Americans. The relationship between this set of variables and intentions is mediated by the perceived barriers and perceived benefits of screening. Data are presented on a sample of 198 African Americans recruited from churches, places of employment, and social/civic organizations in two large Midwestern cities. Structural equation modeling (LISREL) was used to test the model. The model exhibited good fit (RMSEA = .061) and socio-cultural variables added significantly to the prediction of intention to screen for colorectal cancer with perceived benefits and barriers as mediators. Specifically, individuals with more traditional acculturative strategies, less medical mistrust, and more perceived group susceptibility reported more intention to be screened as a function of greater perception of benefits of screening. Younger individuals and those with greater access to health care also reported more intention as a function of less perceived barriers to screening. However, socioeconomic status, social support, and individual susceptibility did not have significant indirect effects through benefits and barriers. Post-hoc analyses examining the model in greater detail and testing interactions among socio-cultural predictors are presented along with information on the sample's knowledge and past utilization of colorectal cancer screening. These results are discussed with reference to their implications for future research and interventions addressing African American colorectal cancer screening.

Health Beliefs, Knowledge, and Perceived Barriers of Colorectal Cancer Screening Practices Among African Americans

Health Beliefs, Knowledge, and Perceived Barriers of Colorectal Cancer Screening Practices Among African Americans PDF Author: Cheryl Larkin Logan
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 116

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Research indicates that African Americans have the highest death rate and shortest survival rate of any ethnic or racial group in the Unites States for most cancers. Colorectal cancer is the third most common cancer diagnosed in men and women. The literature reveals that the primary cause of higher mortality and incidence rates is the lack of participation in colorectal cancer screening activities. This descriptive study examined the health beliefs, knowledge, and perceived barriers of colorectal cancer screening practices among African Americans. Using the Health Belief Model as the theoretical framework, and Champion's Health Belief Model scale, information regarding the health beliefs, knowledge, and perceived barriers of colorectal cancer screening among 13 African American men and women living in western North Carolina was obtained. The results of this study indicate that the majority of African Americans participated in sigmoidoscopy/colonoscopy colorectal cancer screening and were knowledgeable about when this type of screening needs to begin and how often it should occur. Future research should be conducted replicating this study using a larger, representative sample in order to understand the relationship between colorectal knowledge and screening practices among African Americans. The aim is to increase colorectal cancer screening among African Americans and ultimately decrease the rate of mortality from this cancer.

Perceptions of Early Detection Screening for Colorectal Cancer in African American Men and Women Aged 30-44, Using the Health Belief Model

Perceptions of Early Detection Screening for Colorectal Cancer in African American Men and Women Aged 30-44, Using the Health Belief Model PDF Author: Chloe Fields
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 458

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African Americans (AA) have incidence and mortality rates of 55.2 and 24.5 per 100,000 cases for colorectal cancer (CRC). By 2030, incidence rates for colon and rectal cancers will increase by 90% and 124.2%, respectively, for ages 20-34 and by 27.7% and 46%, respectively, for ages 35-49. To date, studies targeting AA men and women, ages 30-44, about CRC screenings and screening behaviors are scarce as the vast majority of studies on CRC within the AA community are focused on those aged 50 and above. The purpose of this study was to investigate factors that influence AA men and women’s participation in early detection screening for CRC, utilizing a Health Belief Model framework. Through the use of a mixed-method convergent parallel design, quantitative and qualitative data collection was employed through an online survey and face-to-face interviews. Analysis was completed by SPSS ordinal logistic regression and NVIVO. Study findings indicated cues to action and perceived susceptibility were predictors of CRC screening; however, overall screening knowledge was low. Additionally, perceived barriers and perceived benefits were consistent with the current screening trends of AA men and women aged 50 and above. Based on the study findings, recommendations include: the creation of age-appropriate health communication campaigns and health interventions, updated CRC evidence-based screening guidelines to include younger adults based on current disease trends, advocacy efforts funding research to assess CRC impact in AA aged 30-44, and streamlined approaches for healthcare providers to discuss CRC screenings with patients younger than the age of 45.

Health Belief Model, Social Support, and Intent to Screen for Colorectal Cancer in Older African American Men

Health Belief Model, Social Support, and Intent to Screen for Colorectal Cancer in Older African American Men PDF Author: Mary J. Griffin
Publisher:
ISBN:
Category : African American men
Languages : en
Pages : 91

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"Colorectal cancer is the third most common cancer in the United States and the second leading cause of cancer deaths. African American men are at the greatest risk for developing and dying from colorectal cancer. Using the Health Belief Model and the theory of Social Support as a framework, a cross-sectional, correlation design was used to gather data from a convenience sample of 52 older African American men. Measures used for this study were Champion's Health Belief Model Scale as adapted by Jacobs, the Multidimensional Scale of Perceived Social Support and a self designed tool for intent to screen for colorectal cancer as suggested by Ajzen. The mean age of participants was 61 years. The majority of men were employed, married, had at least one additional person in the household, were high school graduates, and 63% had had a previous colonoscopy. Older African American men reported mixed findings on construct scale scores. Seriousness was rated as low with susceptibility and barriers rated just below average. Benefits, self-efficacy, social support and rated above average or high. No significant correlations were found between the HBM constructs, social support and past colonoscopy and intent to screen. Seriousness and barriers were significant with past colonoscopy with an independent t-test. While multiple regressions did show a significant increase between model scores, significance was small and social support did not add to the variance in intent to screen for colorectal cancer."--Abstract from author supplied metadata.

Colorectal Cancer Screening and Young African-American Men

Colorectal Cancer Screening and Young African-American Men PDF Author: Charles Ray Rogers
Publisher:
ISBN:
Category :
Languages : en
Pages : 223

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Of cancers affecting both men and women, colorectal cancer (CRC) is the second leading cancer to kill African Americans in the U.S. Compared to White men, African-American men have CRC incidence and mortality rates 20% and 45% higher, respectively. Owing to CRC's high incidence and younger age at presentation among African-American men, CRC screening (CRCS) is warranted at age 45 rather than 50. Yet, most studies have focused on men older than 45. The findings of these studies suggest that CRC survival is inversely related to early detection, and advocate the continued need for development, testing, and translating prevention interventions into increase screening behavior. Hence, the two-fold purpose of this study was to (1) conduct a systematic review of the professional literature to assess African-American men's knowledge, beliefs, and behaviors regarding CRCS; and (2) assess the knowledge, attitudes, male role norms, perceptions of subjective norms, and perceptions of barriers associated with CRCS among young adult African-American men (ages 19-45) employing survey research methodology. Utilizing Garrard's Matrix Method, the systematic literature review synthesized 28 studies examining African-American men's knowledge, beliefs, and behaviors regarding CRCS. Six factors emerged as associated with CRCS intentions and behaviors: previous CRCS, CRC test preference, perceived benefits, perceived barriers, CRC/CRCS knowledge, and physician support/recommendation. In addition, the mean methodological quality score of 10.9 indicated these studies were, overall, of medium quality and suffered from specific flaws. The second component of this study -- an on-line survey questionnaire -- described the male role norms, knowledge, attitudes, perceived subjective norms, and perceived barriers associated with screening for CRC among a non-random sample of 157 young adult African-American men. Ultimately, family history of cancer, work status, and perceived barriers were the critical factors associated with attitudes in all of our models/analyses. Of these, perceived barriers are the only factors amenable to change through health education efforts. Because this study was narrowly-focused on a specific group of African Americans, it provides a solid basis for developing structured health education interventions to increase young adult African-American men's intention to screen for CRC. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/151811

Colorectal Cancer Screening and Preventive Practices and Beliefs Among African Americans

Colorectal Cancer Screening and Preventive Practices and Beliefs Among African Americans PDF Author: Louise Barbara Black-Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 109

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Book Description
This study exam the preventive practices and bekiefs among African Americans (AAs) as conceptualized by the Critical Social Theory (CST), to screening for colorectal cancer (CRC). African Americans (AAs) adults participated in the colon Cancer Conferenes in the spring of 2010 and 2011. CRC is one of the most common cancers and the second leading cause of cancer death for men and woman. (American Cancer Society, 2009). Screeing can be effective for detecting cancer at the treatable stages, however, large porporation of African Americans are at risk for CRC, have not been screened or are not screened regularly as recommended by the national guidelines fron the U.S. Preventive Services Task Force (UPSTF), the American Cancer Society, the U.S. Multi-Society Task force on Colorectal Cancer, and the American college of Radiology (Smith, Cokkinides & Brawley, 2008). In this study, descriptive statistics was used to exam the preventive practices and beliefs by use of a self-report questionnaire of CRC screeing behaviors for fecal occult blood testing (FOBT), flexible sigmoidoscopy, and colonoscopy. Many of the AA's that attened both conferences did not recieve these recommendations for CRC screening. Also, little was known about attitudes and perception toward nutrition and physical activity among African-Americans. This study examines cultural beliefs and perceptions toward nutrition, and physical activity. In addition to the relationship between the intake of dietary fiber and risk of CRC, particularly when poor diet is combined with excess calorie intake and weight gain, physical inactivity, and unhealthy practices, such as smoking and consumption of alcohol. The results support the recommendation frrom the Centers for Disease Control and Prevention (CDC) and the American Cancer Society that individuals should engage in 30 minutes or more of moderate-intensity physical activity (preferably all) days of the week. Results discuss the context of CST concept and implications for CRC screening practices and the relationships of power and the uderlying structures in society that produce population inequalities (Grams & Christ, 1992). Keywords: African Americans, Caucasians; colorectal cancer screening; health disparities; Critical Social therory;

Theory at a Glance

Theory at a Glance PDF Author: Karen Glanz
Publisher:
ISBN:
Category : Health behavior
Languages : en
Pages : 52

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Timely Diagnosis of Colorectal Cancer

Timely Diagnosis of Colorectal Cancer PDF Author: Louise Olsson
Publisher: Springer
ISBN: 3319652869
Category : Medical
Languages : en
Pages : 125

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Book Description
This book summarizes current knowledge and outlines directions for the future on how to improve the art of diagnosing colorectal cancer with emphasis on timeliness, one of the most vital issues in cancer management. Using a comprehensive, multi-discliplinary approach, it provides an overview of decisive factors in timely diagnosis of colorectal cancer from symptom scores and symptom awareness to technical aspects. The book starts by discussing early diagnosis from the perspective of patients, including the importance of awareness in the general population as well as psychological aspects. It then goes on to discuss issues of importance to clinicians, such as fast tracking, laboratory testing, improving technical skills and optimizing endoscopy services. In addition, more practical issues such as cost-effectiveness and auditing are also extensively discussed. By focusing on one specific but common form of cancer the content translates well across the scope of other cancer types and can be used by professionals working on different cancer types. This book provides clinicians, clinical researchers and policymakers with a comprehensive overview of the field of timeliness in diagnosing colorectal cancer. By addressing the challenges posed in the management of symptomatic patients it informs and educates the experts and could help improve diagnosis.

Predictors of Colorectal Cancer Screening Among Arab Americans

Predictors of Colorectal Cancer Screening Among Arab Americans PDF Author: Amjad Ibrahim Khawaldeh
Publisher:
ISBN:
Category :
Languages : en
Pages : 454

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Book Description